Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden
Background: The purpose of this paper is to propose a protocol for researching the impact of rural youth health service strategies on health care access. There has been no published comprehensive assessment of the effectiveness of youth health strategies in rural areas, and there is no clearly artic...
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ftcquniportalfig:oai:figshare.com:article/21644954 2023-05-15T17:45:05+02:00 Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden I Goicolea Dean Carson M San Sebastian M Christianson M Wiklund AK Hurtig 2018-01-01T00:00:00Z http://hdl.handle.net/10779/cqu.21644954.v1 unknown https://figshare.com/articles/journal_contribution/Health_care_access_for_rural_youth_on_equal_terms_A_mixed_methods_study_protocol_in_northern_Sweden/21644954 http://hdl.handle.net/10779/cqu.21644954.v1 CC BY 4.0 CC-BY Health economics Mixed methods Rural Youth Health care Access Equity Adolescent Health Services Accessibility Rural Health Services Sweden Young Adult Public Health Text Journal contribution 2018 ftcquniportalfig 2022-12-11T16:10:36Z Background: The purpose of this paper is to propose a protocol for researching the impact of rural youth health service strategies on health care access. There has been no published comprehensive assessment of the effectiveness of youth health strategies in rural areas, and there is no clearly articulated model of how such assessments might be conducted. The protocol described here aims to gather information to; i) Assess rural youth access to health care according to their needs, ii) Identify and understand the strategies developed in rural areas to promote youth access to health care, and iii) Propose actions for further improvement. The protocol is described with particular reference to research being undertaken in the four northernmost counties of Sweden, which contain a widely dispersed and diverse youth population. Methods: The protocol proposes qualitative and quantitative methodologies sequentially in four phases. First, to map youth access to health care according to their health care needs, including assessing horizontal equity (equal use of health care for equivalent health needs,) and vertical equity (people with greater health needs should receive more health care than those with lesser needs). Second, a multiple case study design investigates strategies developed across the region (youth clinics, internet applications, public health programs) to improve youth access to health care. Third, qualitative comparative analysis of the 24 rural municipalities in the region identifies the best combination of conditions leading to high youth access to health care. Fourth, a concept mapping study involving rural stakeholders, care providers and youth provides recommended actions to improve rural youth access to health care. Discussion: The implementation of this research protocol will contribute to 1) generating knowledge that could contribute to strengthening rural youth access to health care, as well as to 2) advancing the application of mixed methods to explore access to health care. Other Non-Article Part of Journal/Newspaper Northern Sweden CQUniversity: acquire |
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topic |
Health economics Mixed methods Rural Youth Health care Access Equity Adolescent Health Services Accessibility Rural Health Services Sweden Young Adult Public Health |
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Health economics Mixed methods Rural Youth Health care Access Equity Adolescent Health Services Accessibility Rural Health Services Sweden Young Adult Public Health I Goicolea Dean Carson M San Sebastian M Christianson M Wiklund AK Hurtig Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
topic_facet |
Health economics Mixed methods Rural Youth Health care Access Equity Adolescent Health Services Accessibility Rural Health Services Sweden Young Adult Public Health |
description |
Background: The purpose of this paper is to propose a protocol for researching the impact of rural youth health service strategies on health care access. There has been no published comprehensive assessment of the effectiveness of youth health strategies in rural areas, and there is no clearly articulated model of how such assessments might be conducted. The protocol described here aims to gather information to; i) Assess rural youth access to health care according to their needs, ii) Identify and understand the strategies developed in rural areas to promote youth access to health care, and iii) Propose actions for further improvement. The protocol is described with particular reference to research being undertaken in the four northernmost counties of Sweden, which contain a widely dispersed and diverse youth population. Methods: The protocol proposes qualitative and quantitative methodologies sequentially in four phases. First, to map youth access to health care according to their health care needs, including assessing horizontal equity (equal use of health care for equivalent health needs,) and vertical equity (people with greater health needs should receive more health care than those with lesser needs). Second, a multiple case study design investigates strategies developed across the region (youth clinics, internet applications, public health programs) to improve youth access to health care. Third, qualitative comparative analysis of the 24 rural municipalities in the region identifies the best combination of conditions leading to high youth access to health care. Fourth, a concept mapping study involving rural stakeholders, care providers and youth provides recommended actions to improve rural youth access to health care. Discussion: The implementation of this research protocol will contribute to 1) generating knowledge that could contribute to strengthening rural youth access to health care, as well as to 2) advancing the application of mixed methods to explore access to health care. |
format |
Other Non-Article Part of Journal/Newspaper |
author |
I Goicolea Dean Carson M San Sebastian M Christianson M Wiklund AK Hurtig |
author_facet |
I Goicolea Dean Carson M San Sebastian M Christianson M Wiklund AK Hurtig |
author_sort |
I Goicolea |
title |
Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
title_short |
Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
title_full |
Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
title_fullStr |
Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
title_full_unstemmed |
Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden |
title_sort |
health care access for rural youth on equal terms? a mixed methods study protocol in northern sweden |
publishDate |
2018 |
url |
http://hdl.handle.net/10779/cqu.21644954.v1 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
https://figshare.com/articles/journal_contribution/Health_care_access_for_rural_youth_on_equal_terms_A_mixed_methods_study_protocol_in_northern_Sweden/21644954 http://hdl.handle.net/10779/cqu.21644954.v1 |
op_rights |
CC BY 4.0 |
op_rightsnorm |
CC-BY |
_version_ |
1766147828210466816 |